Fetal ECG Analysis for Intrapartum Electronic Fetal Monitoring: A Review

被引:14
作者
Devoe, Lawrence D. [1 ]
机构
[1] Med Coll Georgia, Dept Obstet & Gynecol, Augusta, GA 30912 USA
关键词
intrapartum fetal monitoring; fetal electrocardiography; ST segment analysis; fetal metabolic acidosis; STAN system; PLUS ST ANALYSIS; WAVE-FORM; HEART-RATE; ELECTROCARDIOGRAM; CARDIOTOCOGRAPHY; SURVEILLANCE; TRIAL; LABOR;
D O I
10.1097/GRF.0b013e31820a0ee7
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Computerized analysis of the fetal electrocardiogram has been developed during the past 40 years. A mature system for ST analysis (STAN) has resulted from a series of laboratory and clinical studies. The current STAN system provides adjunctive information to the standard interpretation of fetal heart rate (FHR) patterns. This monograph describes the basis for the STAN methodology, including the derivation of its basic measure, the T : QRS ratio. It summarizes the supporting research and clinical trials that have led to its adoption in obstetric practice. The STAN methodology is outlined according to current fetal heart rate classification and management guidelines. Recent clinical experiences with STAN systems in Europe and the United States are discussed. Finally, future directions for this technology are listed.
引用
收藏
页码:56 / 65
页数:10
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